NPIMap

Organization Active NPI

Sofia Dental

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1558769190
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019028285 Issued in IL
Legal business name
SOFIA DENTAL
Practice address
4413 N Clark St
Chicago, IL 60640-5403
Phone
(773) 770-4766
Fax
(773) 770-4766
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Silvia ValtchevaNPI 1033422720
Title
President
Phone
(773) 770-4766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019028285 IL Primary

Addresses

Primary practice location

4413 N Clark St
Chicago, IL 60640-5403

Mailing address

4413 N Clark St
Chicago, IL 60640-5403
Phone (773) 770-4766

National Provider Directory

National Provider Directory

Locations

4413 N Clark St
Chicago, IL 60640
Phone (773) 770-4766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1558769190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405403",
            "telephone_number": "773-770-4766",
            "fax_number": "773-770-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405403",
            "telephone_number": "773-770-4766",
            "fax_number": "773-770-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFIA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "VALTCHEVA",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-770-4766",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019028285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.